Treatment of trigeminal neuralgia typically involves oral medications. Seizure medicine, like carbamazepine or phenytoin, is usually prescribed to the patient. In some cases, your doctor may prescribe a muscle relaxer. If conservative treatment doesn’t reduce the facial pain, or has undesirable side effects, surgery may be recommended. In such cases, Microvascular Decompression may be performed to take pressure off of the trigeminal nerve and return normal sensation back to the face.